GERONTOLOGY HESI PRACTICE EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
An older resident is newly admitted to an assisted living
community. Which actions should the registered nurse (RN)
implement to provide the resident ways to maintain safe
medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness -
ANSWERS-(A), (B), (D), (E)
Rationale: (A, B, D and E) are correct. For safe self-
medication in an assisted living community, the resident
should be provided a locked storage box (A), create a
medication administration record to monitor medication
,(B), establish adequate medication supply (D) and a
reference to evaluate the effectiveness of medications (E).
(C) is not the responsibility of the nurse.
An older male client is seeking counseling about his recent
sexual issues with his partner. What issue should the
registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients
- ANSWERS-(A) Certain medications may impact sexual
function
Rationale: Certain medications can have a direct influence
on sexual function and should be discussed with older
clients (A). (B) does not have drastic effects for older male
clients. Some men may experience a decline in testosterone
and sperm production, but sexual dysfunction is not a part
of normal aging in the male client. The incidence of STIs has
increased and may be related to a lack of education for this
age group about preventative measures (C). Older clients
continue to have interest in sex (D) as long as there is not a
direct influence of medication side effects that cause sexual
dysfunction
,An older male client with Parkinson's disease (PD) is
discharged home with levodopa-carbidopa (Sinemet) and
instructions to his wife for his care. What statement best
indicates to the registered nurse (RN) that the wife
understands her husband's needs?
A. "It is important to keep my husband in a chair or in bed
as much as possible and prevent him from falling."
B. "I will notify the healthcare provider if my husband has
increasing involuntary movements of his extremities."
C. "Since it is difficult for my husband to eat, we should stay
in the house instead of going out to dine."
D. "I should expect that my husband will be incontinent of
bowel and bladder as his disease advances." - ANSWERS-(B)
"I will notify the healthcare provider if my husband has
increasing involuntary movements of his extremities."
Rationale: Increasing involuntary movements (B) should be
reported during the use of levodopa; it is an indicator that
the body is failing to readjust to the changes in the level of
the intracerebral neurotransmitter dopamine. The client
should be encouraged to engage in exercise and regular
daily activities (A). Socialization and activities as tolerated
help to prevent the client from becoming depressed, so (C)
is not indicated. Clients with PD usually are constipated due
, to muscle weakness, lack of exercise, and decreased fluid
intake, but incontinence should not be an expectation
related to PD.
Rationale: Taste buds atrophy with normal aging, which
influences an older client's sensitivity to taste and is often
compensated for the use of stronger tasting seasonings. (A),
(B), and (C) are not normal aging processes related to taste.
After taking a 10-day course of an antibiotic that was
ineffective, a frail, elderly client with chronic obstructive
pulmonary disease (COPD) is admitted for pneumonia. The
client has a long history of smoking and still smokes a pack
of cigarettes a day. Which finding should the registered
nurse (RN) report to the healthcare provider?
A. Barrel chest with increased chest diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels
D. Arterial blood gases indicating respiratory acidosis -
ANSWERS-B. Crackles and pulse oximetry level of 88%
Rationale: With pneumonia, crackles in the lungs and low
O2 saturation (B) can impact adequate oxygenation, which
should be reported to the HCP. (A) occurs due to chronic
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
An older resident is newly admitted to an assisted living
community. Which actions should the registered nurse (RN)
implement to provide the resident ways to maintain safe
medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness -
ANSWERS-(A), (B), (D), (E)
Rationale: (A, B, D and E) are correct. For safe self-
medication in an assisted living community, the resident
should be provided a locked storage box (A), create a
medication administration record to monitor medication
,(B), establish adequate medication supply (D) and a
reference to evaluate the effectiveness of medications (E).
(C) is not the responsibility of the nurse.
An older male client is seeking counseling about his recent
sexual issues with his partner. What issue should the
registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients
- ANSWERS-(A) Certain medications may impact sexual
function
Rationale: Certain medications can have a direct influence
on sexual function and should be discussed with older
clients (A). (B) does not have drastic effects for older male
clients. Some men may experience a decline in testosterone
and sperm production, but sexual dysfunction is not a part
of normal aging in the male client. The incidence of STIs has
increased and may be related to a lack of education for this
age group about preventative measures (C). Older clients
continue to have interest in sex (D) as long as there is not a
direct influence of medication side effects that cause sexual
dysfunction
,An older male client with Parkinson's disease (PD) is
discharged home with levodopa-carbidopa (Sinemet) and
instructions to his wife for his care. What statement best
indicates to the registered nurse (RN) that the wife
understands her husband's needs?
A. "It is important to keep my husband in a chair or in bed
as much as possible and prevent him from falling."
B. "I will notify the healthcare provider if my husband has
increasing involuntary movements of his extremities."
C. "Since it is difficult for my husband to eat, we should stay
in the house instead of going out to dine."
D. "I should expect that my husband will be incontinent of
bowel and bladder as his disease advances." - ANSWERS-(B)
"I will notify the healthcare provider if my husband has
increasing involuntary movements of his extremities."
Rationale: Increasing involuntary movements (B) should be
reported during the use of levodopa; it is an indicator that
the body is failing to readjust to the changes in the level of
the intracerebral neurotransmitter dopamine. The client
should be encouraged to engage in exercise and regular
daily activities (A). Socialization and activities as tolerated
help to prevent the client from becoming depressed, so (C)
is not indicated. Clients with PD usually are constipated due
, to muscle weakness, lack of exercise, and decreased fluid
intake, but incontinence should not be an expectation
related to PD.
Rationale: Taste buds atrophy with normal aging, which
influences an older client's sensitivity to taste and is often
compensated for the use of stronger tasting seasonings. (A),
(B), and (C) are not normal aging processes related to taste.
After taking a 10-day course of an antibiotic that was
ineffective, a frail, elderly client with chronic obstructive
pulmonary disease (COPD) is admitted for pneumonia. The
client has a long history of smoking and still smokes a pack
of cigarettes a day. Which finding should the registered
nurse (RN) report to the healthcare provider?
A. Barrel chest with increased chest diameter
B. Crackles and pulse oximetry level of 88%
C. Low hemoglobin and hematocrit levels
D. Arterial blood gases indicating respiratory acidosis -
ANSWERS-B. Crackles and pulse oximetry level of 88%
Rationale: With pneumonia, crackles in the lungs and low
O2 saturation (B) can impact adequate oxygenation, which
should be reported to the HCP. (A) occurs due to chronic
